NPI | 1932514114 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CO 0004775) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 001136) |
103K00000X Behavior Analyst (Licence: NY 1-12-12365) | |
103T00000X Psychologist (Licence: NY 020115) | |
Enumeration Date | 2014-06-25 |
Last Update Date | 2018-09-12 |